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Philips MCOT question
In December I had 30 days of monitoring with the Philips MCOT device. At the end of the monitoring period I received a copy of the report, which describes the ECGs *only* at the times I recorded a symptom. I'm just wondering how many of you good folks out there have had monitoring with the Philips device. My understanding was there would be a summary in the report of the total PVC/PAC burden, highest and lowest recorded heart rates, and other summary data. None of that appears in the report, yet my EP has only the same report that I have. I know for sure that there were many more PVCs, etc. than I reported during monitoring - sometimes driving, or at a meeting, and not able to pull out the monitor to record the symptom. And since my PVCs tend to occur in "runs," in the time it takes to tap 5 times to report one symptom, I often had a few more PVCs. I can even see them in my Apple watch's ECG app.
I wish I felt a little more at ease about my heart health, but with LBBB and occasional SVT episodes, lots of days with many runs of PVCs and what seems like a pretty incomplete report, I'm not very comfortable about it.
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I can understand your concern over this gap. In my case, my EP accepted my Galaxy watch readout, sent as an attachment to an email to his office, at face value. Even I, untrained, could see that there was no apparent P-wave, and the R-to-R interval was all over the place. So, if you have a record from your watch, maybe that will help. Maybe, also, you can suspect a pattern or reliable circumstance when you're likely to get some ectopy, and if you set your watch to run an ECG for a while (15 minutes?) you may get lucky and have the depiction of a good long run that you can wave in front of him/her. Mind you, most watches are only 'allowed' to detect AF, not PACs or PVCs. I don't know enough about a Kardia to say it can/cannot do that, but I don't think it can. There are expensive monitors one can purchase, but unless you have maybe three leads connected to your chest in various places, it isn't likely to pick up PVCs specifically.
Or, maybe you can see another cardiologist who would try another monitoring device, say a Holter or a loop recorder/ICD...if you are up to that and want this settled for once.
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2 Reactions@gloaming Thanks for replying. My Apple watch is only designed to check for AF, though I can see distinct PVC 'blips' whenever I'm using the watch's ECG app. In fact if I have three or more while doing the 30 ECG recording, I get an "Inconclusive" message at the end of the 30 seconds.
The MCOT (3 leads) does pick up PVCs, PACs, and PJCs (I'd not heard of PJC before), but my report only shows the ones that were occurring when I reported a symptom. As I mentioned, I only reported a fraction of the ones that occurred because of not always being in a situation where I could pull out the monitor to report a symptom. I think this is why I don't feel resolved about this monitoring showing only benign occurrences.
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2 ReactionsI wore that 30 day device for 8 days in 2024. The adhesive bothered me and doc said he had enough info from 8 days. My report was 20 pages, included 24 sample strips showing and identifing various arryhmias. I never triggered any, they were all automatic. I also had 3 pages of summary findings including totals, burden, etc. I would investigate, you did not receive the complete report compared to mine.
@jacqincalifornia Interesting info. I too have LBBB along with “mild AFIB”. PVCs during an elective surgery sent me to my first Cardiologist appt/tests that discovered my status. High CAC score, controlled BP and naturally good cholesterol (still take a statin daily). My iWatch 10 rarely reads ECG other than inconclusive and never know why. It has reported one or two AFIB episodes in last 18 months and does show summary reports of >3%-6% AFIB by the week in Apple Health app. Visit with Cardiologist and Electrophysiologist recently came to agreement to take me off of Apixiban. Also offered to insert a loop recorder to monitor AFIB full time if it would give me peace of mind. I declined as my symptoms and apparently events have been managed by lifestyle changes: weight loss, 0 Alcohol, 0Caffeine, Low Sugar and daily walks of 2+ miles. What I don’t know is when and how many PVCs I may be having? Perhaps I should reconsider declining the loop recorder?
@4aces4me Corrections: “My Apple Health app reports “less than 6% AFIB burden”
Has anyone had experience with the Oura or similar or similar rings? Let me know your experiences, please.
@lmt1 Thanks very much, I'll investigate further.
@dalebout123 This is a different topic, so it would be best for you to start a new thread.
@lmt1
Following up: I saw my cardiologist today and questioned her about the summary report from my 30 days on the MCOT device. She did not have anything more than I had - no summary report. And she did not seem interested in contacting Philips about it. She said that if anything concerning happens it is recorded even if the patient does not report symptoms. Well, ok, but what about the fact that I recorded symptoms only a percentage of the times that I actually had PVCs or PACs? Oftentimes I was driving, or at a meeting or in another situation where pulling out the monitor to record a symptoms was not realistic. Then there's whatever might be happening at night when I'm sleeping. And since my PVCs often occurred in "runs," by the time I did the 5-6 taps required to report one symptom on the monitor, several more PVCs would have occurred.
At this point I'm not freaked out about all this, but I sure would like to know what my total PVC burden is. Overall I have liked this cardiologist and so did my husband, so I've been reluctant to leave her for a different cardiologist. At the same time, it's my health. And with a diagnosis of dysautonomia my cardiac care, particularly re heart rhythm and blood pressure variability, may become increasingly important to be on top of. Thanks for reading this!